Showing 12 results for Patient
Y. Soleimani-E-Shayeste , Ak. Khoshkhoo Nejad ,
Volume 17, Issue 4 (1-2005)
Abstract
Statement of Problem: There are many risk factor for periodontal diseases and from this point the disorders of lipid metabolism also may be a risk factor for pcriodononlal diseases.
Purpose: The purpose of this study was to evaluate the relation of periodontal disease and disorder of lipids metabolism in cardio vascular patients.
Materials and Methods: In this sectional study, 45 patients who were hospitalized in shahid rajaee hospital divided and studied in two group, (included test group with 27 patents and control group with 18 patient). In both group the level of serum lipids including triglycerid, total cholesterol and LDL cholesterol were determined and periodontal status were estimated by CPITN index. Then statistical result processed by Mann-Whiney U test and spearman- correlation.
Results: The results showed thai CPITN index in high lipid group was more than low lipid group and spearman correlation between triglycerid and CPITN was 0.2S3 between cholesterol and CPITN was 0.372 and between LDL and CPITN was 0.230.
Conclusion: In this study we found that there is a specific and significant relation between periodontal disease and serum lipids in cardio vascular patients.
H. Nowzari, Sandra. K Rich, N. Moslemi,
Volume 21, Issue 4 (1-2009)
Abstract
Gingival overgrowth is a drug-associated side effect occurs in pediatric patients. Phenytoin, cyclosporine, calcium channel blockers, and amphetamine are primary drugs that can cause gingival enlargement in children. Pediatric patients are more prone to drug-associated gingival overgrowth rather than adults. Gingival overgrowth may cause functional, phonetic, and nutritional difficulties, and more importantly, may affect the psycho-social development, self-esteem, and quality of life in children. However, the researches about this issue are rare. This Part I paper provides an analysis of pediatric systemic disease and corresponding prescribed medications for selected physical and mental health conditions. This paper describes the morbidity and risk for children related to gingival overgrowth and proposes a framework for action that will be more completely described in a part II paper on this topic.
H. Dorriz, F. Farid, D. Seidi,
Volume 23, Issue 4 (1-2011)
Abstract
Background and Aims: Association between patient satisfaction and success of the treatment determines the quality of health care. Measuring the level of satisfaction is an important factor for improving the quality of services provided by a system, so it is necessary to determine the expectations of patients. The aim of this study was to evaluate the patient satisfaction from services provided by the dental faculty of Tehran University of Medical Sciences.
Materials and Methods: In this descriptive and cross-sectional study, 385 patients were randomly selected from different departments of dental faculty including prosthodontics, endodontics, periodontics, operative dentistry, radiology and oral medicine. A two-part questionnaire including demographic characteristics of patients and satisfaction from reception process, infection control, student and personnel behavior, and the outcome of treatment was filled out by patients. Data were analyzed using SPSS software.
Results: The most dissatisfying factor was the time wasted in paying the cost and the most satisfying factor was student behavior. General satisfaction form the process was evaluated (complete satisfaction 51.9%, partial satisfaction 38.4% and dissatisfaction 9.6%), and 62.9% of patients were completely agree with introducing dental faculty to others.
Conclusion: The most satisfying item was student behavior which indicates that this factor is of great importance in increasing the quality of treatment. The deficiencies determined by patient can provide reliable data for determination and regulation of health care policies.
Afsaneh Pakdaman, Ahmad Khormali, Ahmad Reza Shamshiri,
Volume 26, Issue 4 (1-2014)
Abstract
Background and Aims: One of the important aspects for evaluating an organization is assessing the level of satisfaction of the clients. This study was conducted to compare the level of satisfaction between traditional and new methods of delivering dental care in the clinic of Tehran University of Medical Sciences.
Materials and Methods: A cross-sectional study was conducted on 308 patients received dental care at the dental clinics of Tehran University of Medical Sciences in spring 2010. Data were collected from Comprehensive Care Unit (CCU) in addition to 7 isolated clinics including restorative, periodontics, endodontics, radiology, and prosthodontics (fix and removable) using translated version of the Dental Satisfaction Questionnaire (DSQ), consisted of 19 questions in three main domains in addition to demographic questions. Descriptive statistics was used as percentage of answers. In order to compare the mean score between domains ANOVA test was used.
Results: The standardized mean scores in each domain were: pain control 58±17, access 59±12, quality 68±11 and total Dental Satisfaction Index (DSI) score of 62±10. 92.5% of the respondents reported that students were very careful when examining their patients. 96.8% reported that they treat their patients with respect . The most common reasons for dissatisfaction apart from waiting time and getting appointments were not providing preventive care and pain control.
Conclusion: The results of this study shows acceptable level of satisfaction with dental care in teaching clinics of this dental school, however efforts on implementing preventive care and pain control strategies are suggested.
Babak Amoian, Shaghayegh Noori Bayat, Zahra Molana, Ali Akbar Moghaddam Nia, Fariba Asgharpoor,
Volume 27, Issue 1 (4-2014)
Abstract
Background and Aims : Antibiotics are commonly used for controlling the growth of porphyromons gingivalis (P.g) which is one of the most important etiologic factors in the periodontal diseases. Different side effects of synthetics and chemical drugs such as increasing the drug resistancy in the human pathogens have led to study on the herbal antibacterial effect. The aim of this study was to evaluate the antibacterial effect of cinnamon on the growth of porphyromons gingivalis in chronic periodontitis patients with deep pockets.
Materials and Methods: In this experimental study, samples were provided from patients having pockets. After culturing the microorganism and diagnosis of P.g by gram staining and biochemical tests, cinnamon in different concentrations (10, 50, 100, 250, 500, 750 and 1500 mg/ml ) with oil solvent were prepared and placed by disks in the cultures medium. Positive controls were amoxicillin, metronidazole, ciprofloxacin, amikacin and gentamycin . Oil was negative control. Then the plates were incubated for 24 hours in 37 0 C and then non-growth halos by disk diffusion method, MIC (Minimum Inhibitory Concentration) and MBC (Minimum Bactericidal Concentration) were determined. Data were analyzed using One-way ANOVA test.
Results: The results showed that the cinnamon at the concentration of MIC=750 mg/ml had the inhibitory effects of bacteria and at the concentration of MIC=1500 mg/ml had killing effect. However, this antibacterial effect compared with commonly used antibiotics (amoxicillin, metronidazole), was much weaker (P<0.001).
Conclusion: Cinnamon showed an antimicrobial effect on porphyromonas gingivalis in chronic periodontitis patients with deep pockets.
Hooman Zarif Najafi, Morteza Oshagh, Parisa Salehi, Hamid Keshavarz,
Volume 27, Issue 2 (6-2014)
Abstract
Background and Aims: Orthodontic patients’ cooperation is a determining factor in treatment outcomes. The aim of this study was to evaluate the relationship between patient cooperation during orthodontic treatment with variables such as age, sex, life setting, treatment duration and functional and social discomfort experienced.
Materials and Methods: Specimens were consisted of 100 orthodontic patients (36 males and 64 females) between 13-35 years old (average age: 22.57±1.69 years). Patients’ demographic traits, treatment duration and
functional-social discomfort by the orthodontic treatment were evaluated using a questionnaire answered by the patients or their parents. The degree of patient cooperation was assessed by the modified cooperation questionnaire (Orthodontic Patient Cooperation Scale [OPCS]) which was completed by an orthodontist. Data were analyzed using One-way ANOVA, T-test, intraclass correlation coefficient and Pearson Correlation.
Results: No significant difference was found between the cooperation of male and female patients (P=0.867) and also between the cooperation of the patients who lived in the urban and rural setting (P=0.613). Treatment duration and compliance showed a low negative correlation which was not statistically significant (r=-0.155, P=0.127). Functional-social discomfort and compliance showed a low negative correlation which was not statistically significant (r=-0.118, P=0.244). No significant correlations were found between the compliance and age (r=0.002, P=0.988) and also the treatment duration and functional-social discomfort experienced
(r=0.164, P=0.105).
Conclusion: Patient compliance appears to be a complex issue that cannot easily be predicted only by factors such as age, gender, life setting, treatment duration and functional-social discomfort experienced.
Sahebi Majid , Hajizadeh Moslem ,
Volume 27, Issue 4 (1-2015)
Abstract
Background and Aims: Temporomandibular joint disorders are common problems among patients referring to dental schools and clinics. However appropriate treatment modalities are performed for the TMD patients in dental school, the results and success rate of these treatments are not studied distinctly. The aims of this study was to determine the treatment performed for temporomandibular patients at the TMJ department of Tehran University dental school in 2010-11 .
Materials and Methods: In a descriptive cross-sectional trial, 85 TMD patients treated at the TMJ department of Tehran University dental school were examined at least 3 months after the treatments. The patients demographic data ,TMD signs and symptoms and the improvements occurred in TMD disorder were determined (complete, partial and no improvement). The patients satisfaction regarding the treatment results were investigated and data were analyzed regarding the presence of different TMD signs and symptoms before and after the treatment using Mann-Whitney U test .
Results: TMJ pain (35 cases, 42.2%), click (33 cases, 39.8%) and muscle tenderness (26 cases, 31.3%) were the most prevalent obtained signs and symptoms. The mean age of the patients were 32.3 years old while females were the predominant group (72 cases vs.11 one). 44 individuals (53.0%) were treated by splint, 11 ones (13.3%) with anterior repositioning splint and 17 individuals (92.5%) were managed by physiotherapy plus splint. 65 patients (87.3%) were satisfied with the results and 16 ones (19.3%) were not. After the treatment, patients with TMJ pain (P<0.001) and muscle tenderness (P<0.001) showed significantly lower satisfaction than that of patients with no signs. No other significant differences were noted between patients satisfaction regarding the presence of TMD signs and symptoms (P>0.05) .
Conclusion: The results showed that the treatments presented for the TMD patients at Tehran University dental school were successful and most patients received satisfactory treatment.
Allahyar Geramy, Amir Hossein Mirhashemi, Sahar Rafiei Chokami, Ahmadreza Shamshiri,
Volume 28, Issue 3 (10-2015)
Abstract
Background and Aims: Cl II malocclusion is one of the most common abnormalities in human societies and using a simple, affordable and accessible treatment that can be provided by general practitioners or specialists, to prevent future malocclusion complications is vital
. Cl II malocclusion treatment using functional appliances such as twin block and anterior inclined bite plan have less cost, side effects and complications compared to fixed orthodontic or orthosurgery
. Until now, the dentoskeletal changes resulting from the application of twin block and anterior inclined bite plan in patients with Class II malocclusion has not been evaluated. The objective of the present study was to assess the dentoskeletal changes following the use of twin-block functional appliance and inclined anterior bite plan in the patients with class II malocclusion div 1 during mixed dentition.
Materials and Methods: In this retrospective cohort trial, 60 patients with the definitive diagnosis of Class II div. 1 malocclusion having ANB>2 and FMA angel between 20 and 30 and without any previous treatment or syndrome who were treated with twin-block or inclined anterior bite plan appliance were selected and their lateral cephalometries were traced before and after treatment. Selected distance and angular landmarks were measured on the cephalograms with the good reliability (ICC=0.953) and the changes occurred in the landmarks were statistically analyzed using Student t test.
Results: Due to the increased mandibular growth, most of the landmarks experienced significant changes following the treatment with twin-block and inclined bite plan (P<0.05). The appliances corrected Class II malocclusion through improvement of mandibular length and position, maxillary and mandibular skeletal and dental relationships (decreased ANB angle and overjet) and stability of mandibular plan inclination. No significant differences were found between the devices regarding most landmarks changes (P>0.05), however, SNA (P=0.04), overjet (P=0.007) and wits appraisal (P=0.004) changed differently after using the appliances.
Conclusion: Despite with most similarities of both twin-block and anterior inclined bite plan to correct class II div. 1 malocclusion, Due to the advantages of anterior inclined bite plan such as less size, good patient cooperation and simple laboratory preparations the appliance can be used as substitute for complex functional appliances to correct class II div. 1 malocclusion before the growth spurt.
Roza Haghgoo, Sima Rasouli,
Volume 29, Issue 2 (11-2016)
Abstract
Background and Aims: One of the major challenges in dental practice is dental complaints that majority of complaints resulted in criminal prosecution and the legal practitioners. The aim of this study was to investigate the patients’ complaints on the diagnosis and treatment plan, dentist’s behavior, treatment charge, and management unlike the behavior of medical affairs, lack of enforcement in Tehran Medical Council between 2005-2011.
Materials and Methods: We referred to the Medical Council in order to obtain permission for evaluating complaints of dentists in Tehran. All files in units of prosecutors, magistrates and judicial committee were evaluated. Data were analyzed using spss version16 software.
Results: The results showed that the highest percentage of complaints was related to the how treatment was managed (41.7%) and the lowest percentage of complaints were about the dentist's diagnosis and treatment plan (2.9%).
Conclusion: Based on the results of this study, with dentists’ awareness of the existing rules and strict supervision, occurrence of complaints on the dental treatment can be prevented.
Simin Zahra Mohebbi, Katayoun Sargeran, Tahereh Hejrati,
Volume 30, Issue 2 (8-2017)
Abstract
Background and Aims: Disabled individuals are involved with several oral health problems. The aim of this study was to assess the knowledge and perspective of dentists towards oral health promotion in disabled individuals.
Materials and Methods: Dentists participating in the fifty-fourth International Congress of Iranian Dental Association in 1392 in Tehran were invited. A valid and reliable questionnaire including the information about age, gender, city of practice, the working experience with the disabled was distributed. There were also 13 questions on knowledge and one question about the importance of training in the field of “oral health promotion of the disabled” in this questionnaire. The data were analyzed by linear regression model by SPSS 18 software.
Results: 117 questionnaires were collected and evaluated. The mean age was 35.5 (10.1) years. Among the participants, 53.8% were male and 46.2% were female. Average score of knowledge was 6.5 of the maximum attainable 13. Among the dentists, 60% believed that receiving education on oral health promotion for the disabled is important. Liner regression model which evaluated the effect of confounding factors showed that aging led to reduction in dentists' knowledge of oral health of the disabled. Furthermore, working experience with the disabled led to the increase in knowledge. Dentists who had previously treated a disable individual were more interested in receiving related training.
Conclusion: Knowledge of dentists in the field of oral health promotion of the disabled is not desirable while most dentists recognize the need for training. This issue emphasizes on the need for a broader educational effort.
Maede Ghasemi, Reza Sharifi, Bahareh Tahani,
Volume 34, Issue 0 (5-2021)
Abstract
Background and Aims: Dental aesthetics has become an important issue in contemporary society. This study was designed to evaluate the patients’ satisfaction with their dental appearance and tendency to improve dental aesthetics.
Materials and Methods: In this descriptive study, a questionnaire with 17 questions was used to collect data from 200 patients referred to the dental school of Isfahan University of Medical Sciences from April-July 2019. A valid and reliable self-administrative questionnaire consisted of questions about the appearance of anterior teeth, receiving cosmetic treatments, and favorite aesthetic dental treatments was designed and used. Data were fed into SPSS22 and analyzed by Mann-Whitney, Kruskal Wallis and Spearman correlation tests (α=0.05).
Results: Among the participants, 27.5% (n=45) were dissatisfied with the appearance of their anterior teeth and the major reason for this dissatisfaction was related to the tooth color (35.8%, n=71). It was also observed that approximately 84% (n=168) of the patients had a history of smile concealment because of their teeth appearance. Among cosmetic dentistry treatments, aesthetic restorations were more commonly used than other treatments (20.5%, n=41). However, the most desired cosmetic treatments were teeth whitening (78.4%, n=156). There was no significant relationship between the satisfaction with the appearance of teeth and interest in the orthodontic treatment with age and education level (P=0.6).
Conclusion: Teeth color was the most important factor determining the degree of satisfaction with the appearance of teeth. Most of subjects desired to receive an aesthetic dental treatment and teeth whitening was the most popular aesthetic dental treatment.
Soheila Khalili, Hajar Shekarchizadeh, Afsaneh Pakdaman,
Volume 35, Issue 0 (5-2022)
Abstract
Background and Aims: For dental students, communication skills are essential to effectively transfer the necessary information to the patient and meet the patient’s needs and expectations. Therefore, this study was conducted to determine the patient communication skills of dental students at Islamic Azad university of Isfahan in 2021.
Materials and Methods: In the present cross-sectional analytical study, an online standardized questionnaire DCCC (Dental consultation communication checklist) was provided to all clinical dental students applying a census sampling method. In total, from 248 clinical dental students, 230 students participated in the study (response rate=92.7%). The questionnaire included five dimensions of introduction, medical history, clinical examination, closure and patient. In order to determine the patient communication skills, its dimensions, and the association between patient communication skills and students’ demographic characteristics, friedman test, analysis of variance, independent t-test and a linear regression model were used for statistical analysis.
Results: The mean score of total communication skills of the students (117.16±15.6) was above average which was obtained from the maximum score of 155. There was a significant difference between the dimensions of communication skills (P<0.001). The highest scores were assigned to the clinical examination, patient, medical history, introduction and closure, respectively. No significant relationship existed between the score of students' communication skills with gender (P=0.08), age (P=0.17), marital status (P=0.19), and educational background in psychology (P=0.07). No significant relationship revealed between the total score of communication skills (P=0.92) and its dimensions (introduction P=0.79, medical history P=0.90, clinical examination P=0.77, closure P=0.35, and patient P=0.85) with the students’ academic year.
Conclusion: The total score of dental students’ communication skills and all its dimensions was above average. However, students reported poorer performance in dimensions of introduction and closure than the other dimensions. Therefore, it is recommended to design and implement educational interventions specially to improve the dimensions of introduction and closure.
